Provider Demographics
NPI:1821645375
Name:BOWLING, KRISTEN NICOLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NICOLE
Last Name:BOWLING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:JOHNSON
Other - Last Name:BOWLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:314 TREUHAFT BLVD
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-7313
Mailing Address - Country:US
Mailing Address - Phone:606-546-2210
Mailing Address - Fax:606-546-2210
Practice Address - Street 1:314 TREUHAFT BLVD
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-7313
Practice Address - Country:US
Practice Address - Phone:606-546-2210
Practice Address - Fax:606-546-2210
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2023-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist